Individual
COURTNEY MICHELE DOMINIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
160 E. ERIE AVENUE, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN, PHILADELPHIA, PA 19134
(215) 427-5000
Mailing address
PO BOX 13579, READING, PA 19612-3579
(484) 628-1324
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS018584
PA
Other
Enumeration date
05/29/2014
Last updated
04/30/2024
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